I need fulls from il in this format
Name : Leslie M White
Address : 2031 Hutchison Rd | NA
City : Flossmoor
ZIP : 60422
DOB : 11/16/1962
SSN : 357-54-1471
License Number : W30053362926
License Type : Driver's License
License Height : 5’7
License Weight : 155
Is Name Different : NO